Amy F Hollister, RD LDN

Primary specialty

Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X

License

DN001896 Issued in PA

Practice address

1 Washington St
East Stroudsburg, PA 18301-2816

Phone

(570) 426-7150

Fax

(570) 426-9484

NPI assigned

Nov 27, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Beutiful Mind Counseling Services, LLC

  • Mental Health Counselor
  • East Stroudsburg, PA
  • NPI 1386094324
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669548178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 STONELEIGH DR",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183019264",
            "telephone_number": "570-424-5176",
            "fax_number": "570-426-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WASHINGTON ST",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183012816",
            "telephone_number": "570-426-7150",
            "fax_number": "570-426-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLISTER",
        "first_name": "AMY",
        "middle_name": "F",
        "name_prefix": "Mrs.",
        "credential": "RD LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "PA",
            "license": "DN001896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA  STATE LICENSE",
            "identifier": "DN001896",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Conrad Hochreiter
• Samantha Hogan, MD
• Corrie Ann Holland, AGACNP-BC
• David Holland
• Geoffrey S Holland, OD
• Stephanie Ann Horn, MS RD LDN
• Robert P Hosko, D.D.S
• Neal Houston, PHD, PHD
• Laura Howden
• Philip Hughes, CRNA

• Pediatric Nutrition Registered Dietitian in East Stroudsburg, PA
• Providers in East Stroudsburg, PA by specialty
• Pediatric Nutrition Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.